| NPI | 1285874685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDITH C LIVELO CEO/ O PT Ician 510-494-8880 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CA D 6765) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2009-02-24 |